Other obstructive defects of renal pelvis and ureter
ICD-10 Q62.3 is a billable code used to indicate a diagnosis of other obstructive defects of renal pelvis and ureter.
Q62.3 encompasses a variety of congenital obstructive defects affecting the renal pelvis and ureter, which can lead to significant urinary tract complications. These defects may include conditions such as ureteropelvic junction obstruction, where the connection between the renal pelvis and ureter is narrowed, causing hydronephrosis and potential renal damage. Other conditions may involve abnormal ureteral insertion or duplication of the ureter, which can also obstruct normal urinary flow. Congenital malformations of the urinary system, such as renal agenesis (absence of one or both kidneys), polycystic kidney disease (characterized by the formation of numerous cysts in the kidneys), and bladder exstrophy (a defect where the bladder is exposed outside the body), can complicate the clinical picture. Posterior urethral valves, a condition where abnormal folds of tissue obstruct the urethra in males, can also lead to obstructive symptoms. Accurate coding of these conditions is crucial for appropriate management and treatment planning.
Pediatric documentation should include growth parameters, developmental milestones, and specific urinary symptoms. Detailed imaging reports and surgical notes are essential.
Common scenarios include a newborn presenting with hydronephrosis on ultrasound, a child with recurrent urinary tract infections, or a patient undergoing surgical correction of obstructive defects.
Consideration must be given to the age of the patient and the potential for growth and development impacts due to renal anomalies.
Genetic documentation should include family history, genetic testing results, and any syndromic associations with congenital urinary defects.
Scenarios may involve genetic counseling for families with a history of congenital urinary tract anomalies or syndromes like Turner syndrome that may include renal anomalies.
Genetic coding must accurately reflect any chromosomal abnormalities that may be associated with the urinary malformations.
Used in cases of ureteral obstruction due to congenital defects.
Surgical notes detailing the procedure and indications.
Pediatric urology specialists should provide detailed operative reports.
Common conditions include ureteropelvic junction obstruction, renal agenesis, and posterior urethral valves. Each of these conditions can lead to significant urinary complications and require careful management.
